How does death by hanging work?

Friday, January 5th, 2007

In response to Saddam Hussein’s recent execution, the folks at Howstuffworks ask, How does death by hanging work?:

Many people might be surprised to learn that hanging, when carried out with modern techniques, can be one of the quickest and most painless ways to be executed.

The modern method of judicial hanging is called the long drop. This is the method that Iraqi officials used to execute Saddam Hussein. In the long drop, those planning the execution calculate the drop distance required to break the subject’s neck based on his or her weight, height and build. They typically aim to get the body moving quickly enough after the trap door opens to produce between 1,000 and 1,250 foot-pounds of torque on the neck when the noose jerks tight. This distance can be anywhere from 5 to 9 feet (1.5 to 2.7 meters). With the knot of the noose placed at the left side of the subject’s neck, under the jaw, the jolt to the neck at the end of the drop is enough to break or dislocate a neck bone called the axis, which in turn should sever the spinal cord. In some cases, the hangman jerks up on the rope at the precise moment when the drop is ending in order to facilitate the breakage.

This is the ideal situation in a long drop. When the neck breaks and severs the spine, blood pressure drops down to nothing in about a second, and the subject loses consciousness. Brain death then takes several minutes to occur, and complete death can take more than 15 or 20 minutes, but the person at the end of the rope most likely can’t feel or experience any of it.

In a less-than-ideal long drop, if the distance is miscalculated or some other factor misses the mark, the subject will die of decapitation (if the drop is too long) or of strangulation (if the drop is too short or the noose knot isn’t in the correct position). Strangulation can take several minutes and is a far more excruciating experience. The carotid arteries in the neck, which supply blood to the brain, are compressed, and the brain swells so much it ends up plugging the top of the spinal column; the Vagal nerve is pinched, leading to something called the Vagal reflex, which stops the heart; and the lack of oxygen getting to the lungs due to compression of the trachea eventually causes loss of consciousness due to suffocation. Death then follows in the same pattern as it does when the neck breaks, with the entire process ending in anywhere from five to 20 minutes.

While this is all rather gruesome, I have to take exception with the notion that strangulation is excruciating. Judo and jiu-jitsu athletes routinely “choke out” their sparring partners with carotid pressure. The victim simply “goes to sleep” — potentially in a few seconds — as in a pro-wrestling “sleeper” hold.

Panic-inducing? Sure. Especially since the executioner doesn’t loosen the noose right up and pat you on the back, asking, “You OK?”

Excruciating? Not so much. The exruciating part comes when you don’t tap (submit) to an arm-bar fast enough. That‘s excruciating.

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